Healthcare Provider Details

I. General information

NPI: 1023171535
Provider Name (Legal Business Name): MEGAN ANN GERAGE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 7TH AVE N
SAINT PETERSBURG FL
33705-1300
US

IV. Provider business mailing address

2995 DREW ST FL 2
CLEARWATER FL
33759-3012
US

V. Phone/Fax

Practice location:
  • Phone: 727-820-7737
  • Fax: 727-502-4040
Mailing address:
  • Phone: 727-315-6775
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN9474553
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209-004726
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: